How does nursing data quality relate to decision support? Anderson & Wilson (2008) looked at evidence-adaptive CDSSs at the point of care (eg.; ED triage). Nurses learn by the age-old "hands-on" approach and base their decisions on objective data (which is subject to bias) or based on what someone else verbalized (heresay). This is the second stop point for practice errors and the need for decision support use (bias being the first). We've come to live with a certain amount of error and have built it into our statistical data as a p-score.
Anderson & Wilson discuss the use of CPGs (Collaborative Practice Guidelines) as a useful tool to bridge evidence and practice. If nurses were able to quickly find specific CPGs, accuracy in treatment and improved outcomes would most likely improve. Correct/quality nursing data (minimize cognitive errors)and education on use of decision support systems (CPG or other CIS tools) were shown to "significantly increase...diagnoses and management care." Why? There's no need to carry around drug books, diagnostic helps, flip charts. We have handheld PDAs that offer evidence-based information at the touch of a single finger now...
Subscribe to:
Post Comments (Atom)
No comments:
Post a Comment